Medical Billing Specialist

Location: Maryland

Company Overview

Blackstone Medical Services is a leader in healthcare services, specializing in at-home sleep testing for sleep apnea. Our mission is to provide exceptional service to our clients while ensuring compliance and efficiency in all operations.

Position Summary

The Medical Billing Specialist is responsible for managing the billing and reimbursement cycle for sleep testing services. This role ensures accurate claim submission, proper follow-up with insurance companies, and resolution of billing discrepancies to maximize revenue and maintain compliance with payer requirements.

Key Responsibilities

• Review and submit medical claims accurately and timely.
• Verify billing information to ensure accuracy on claim submissions.
• Maintain daily productivity and quality standards.
• Review and resolve claim rejections and billing discrepancies.
• Post payments, adjustments, and denials accurately into the billing system.
• Follow up on unpaid or denied claims, working with insurance representatives to resolve issues.
• Maintain knowledge of payer rules and guidelines specific to sleep testing and durable medical equipment (DME), when applicable.
• Assist with appeals and provide documentation to support claim reconsideration.
• Generate and analyze billing and accounts receivable reports to identify trends and areas for improvement.
• Ensure compliance with HIPAA, payer policies, and company procedures.
• Assist with additional billing projects and departmental assignments as needed.

Qualifications

• High school diploma or equivalent required; Associate’s degree or certification in medical billing/coding preferred.
• 2+ years of experience in medical billing, preferably in sleep medicine and diagnostics.
• Home Sleep Testing (HST) or Durable Medical Equipment (DME) experience is a plus.
• Knowledge of Medicare and commercial insurance billing.
• Knowledge of ICD-10, CPT, HCPCS codes, and insurance claim processes.
• Familiarity with electronic health records (EHR) and billing software.
• Strong understanding of payer requirements, including Medicare and commercial insurers.
• Excellent organizational skills, attention to detail, and problem-solving ability.
• Strong written and verbal communication skills for interacting with patients, payers, and internal teams.

Work Schedule

EEO Statement

Blackstone Medical Services is an Equal Employment Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and employees without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law.